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Letters NICE guidelines on acute heart failure

Concerns about latest NICE guidelines on acute heart failure

BMJ 2014; 349 doi: (Published 12 November 2014) Cite this as: BMJ 2014;349:g6707
  1. D K Satchithananda, consultant cardiologist1,
  2. A Patwala, consultant cardiologist1,
  3. D Barker, consultant cardiologist1,
  4. G Dwivedi, associate professor2,
  5. M Mamas, consultant cardiologist3
  1. 1Royal Stoke University Hospital, Stoke on Trent, UK
  2. 2Ottawa Heart Institute, Ottawa, Canada
  3. 3Manchester Royal Infirmary, Manchester, UK
  1. Dargoi.satchi{at}

We have several comments on the summary of the National Institute for Health and Care Excellence (NICE) acute heart failure guideline.1

The guideline fails to define acute heart failure and to differentiate it from hospital admission for heart failure. The two conditions are not synonymous. Acute heart failure is the final clinical presentation of differing haemodynamic “phenotypes,” with less …

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